<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<html xmlns:wicket="http://wicket.apache.org">
<wicket:panel>
    <div wicket:id="info"></div>
    <object wicket:id="aanvraagformulier" class="pull-left" height="500" width="100%"></object>
    <a wicket:id="download" class="pull-right">Download hier indien weergave niet mogelijk is</a>
    <div wicket:id="confirmDialog"></div>

    <wicket:fragment wicket:id="gescandeWaarden">
        <fieldset class="form-horizontal">
            <div class="row-fluid span12">
                <div class="span6">
                    <div class="control-group value">
                        <label class="control-label">Afnamedatum</label>
                        <div class="controls" wicket:id="afnameDatum"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label">Telefoonnummer 1</label>
                        <div class="controls" wicket:id="telefoonNummer1"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label">Telefoonnummer 2</label>
                        <div class="controls" wicket:id="telefoonNummer2"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label" wicket:id="statusLabel">Resultaat OCR</label>
                        <div class="controls" wicket:id="status"></div>
                    </div>
                    <wicket:enclosure child="ifobtStatus">
                        <div class="control-group value">
                            <label class="control-label">Test status</label>
                            <div class="controls" wicket:id="ifobtStatus"></div>
                        </div>
                    </wicket:enclosure>
                </div>
                <div class="span6">
                    <div class="control-group value">
                        <label class="control-label">Eenmalige afmelding</label>
                        <div class="controls" wicket:id="eenmaligAfmelden"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label">Definitieve afmelding</label>
                        <div class="controls" wicket:id="definitiefAfmelden"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label">Handtekening geplaatst</label>
                        <div class="controls" wicket:id="handtekening"></div>
                    </div>
                    <div class="control-group value">
                        <label class="control-label">Afmeldreden</label>
                        <div class="controls" wicket:id="afmeldReden"></div>
                    </div>
                    <wicket:enclosure child="meedoenBVOenWO">
                        <div class="control-group value">
                            <label class="control-label">Meedoen met BVO en WO</label>
                            <div class="controls" wicket:id="meedoenBVOenWO"></div>
                        </div>
                        <div class="control-group value">
                            <label class="control-label">Toestemming bewaren</label>
                            <div class="controls" wicket:id="toestemmingBewaren"></div>
                        </div>
                        <div class="control-group value">
                            <label class="control-label">Toestemming inzage</label>
                            <div class="controls" wicket:id="toestemmingInzage"></div>
                        </div>
                    </wicket:enclosure>
                </div>
            </div>
            <div class="dropdown right toon-audit">
                <button type="button" class="btn btn-default pull-right dropdown-toggle" data-toggle="dropdown">
                    Toon Audit <span class="caret"></span>
                </button>
                <div class="dropdown-menu pull-right">
                    <table class="table table-bordered table-condensed">
                        <thead>
                        <tr>
                            <th>Datum</th>
                            <th>Gebruiker</th>
                            <th>Bericht</th>
                        </tr>
                        </thead>
                        <tbody wicket:id="transactionTrails">
                        <tr>
                            <td wicket:id="datum"></td>
                            <td wicket:id="gebruiker"></td>
                            <td wicket:id="bericht">bericht</td>
                        </tr>
                        </tbody>
                    </table>
                </div>
            </div>
        </fieldset>
    </wicket:fragment>
</wicket:panel>
</html>
